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Conditions and Diseases > Back Pain Forum > Detecting spinal disc herniation
What structures make up the spine? We review basic spine anatomy here...before identifying potential causes of back pain....
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Q: Detecting spinal disc herniation
asked by: DoctorQuestion on February 13th, 2009
In Nov. 2008 Dr. did a pap smear and stool specimen and both came back normal. Had x-rays in January for lower back/spine and it showed a little arthritis end of spine but disks were okay. Had ultrasound and pelvic ultrasound last week and they only showed a small cyst 18 milimeters on my left ovary. Dr. states not enough to be in that much pain. Dr. wants to now reassess me and send me for more tests stating it could be something muscular skeletal but she is puzzled at this point. Dr. bills are adding up with no relief to my pain nor no diagnosis.

Can you please offer up any advise as to what it might be; how I might can find some relief from my pain; what tests I should pursue; what type of medical dr. I might need to see; any advise would be much appreciated. I need some relief and so far my dr. hasn't found anything just wants to send me for more tests.


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Dr. Goce Aleksovski , MD
replied on February 16th, 2009
Back Pain Answer A5772
Current medical status: Wake up between 2-4am each morning with severe lower back pain and minor stomach pains. When slide over and/or turnover in bed often yell out because in so much pain. I have had c-section and appendectomy and the pain experienced after getting up from surgery feels like the pain that I have of the morning. It is severe. Pain continues until get up around 5:15am and eases off but still have a lot of discomfort and some minor pain all throughout the day. Often feel nauseated too but may be becuase of pain. This started in September but occurs more frequently and hurt more during the day now than it did.
Current medical treatment: Right now no prescribed medical treatment. Dr. has offered to prescribe pain medication but do not want it at this time. I have been taking Aleve, Ibuprofin, Advil, and or Tylenol but try to not take it too much.

You might want to apply heat on the spine when it hurts. If the pain decreases, then the back muscles might be releasing from the spasm. Spasms in back muscles might be related to skeletal or muscular issues of the spine.


An x-ray might not have been good enough to detect the possible spine problems. Spinal disc herniation is not easily visualized with an x-ray. That is why your doctor might be recommending better imaging techniques (CT scan or MRI, for example). If the condition is related to the spine, your doctor might refer you to a specialist for physical therapy, or an orthopedist, or a neurosurgeon.




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